HLGU will be hosting two sessions of STEM Camp for area 2nd through 5th grade students, one on September 28th and another on October 26th from 8:00 am - 3:30 pm. Parents may drop off participants as early as 7:40 am and they must be picked up by 3:45 pm. Lunch will be provided.Participant requirements* I agree to the following:• Per HLGU policy, participants in STEM Camp 2020 will be required to wear a mask. • Provide a refillable water bottle as “drinking fountains” are closed. • An electronic device (Chromebook, Android tablet, or iPad) is required. Please contact Courtney.firstname.lastname@example.org if your child does not have a device. My child will attend on:* October 26 Camp sessions are limited and will be first come first serve. It is not a requirement to come on both days. Campus Map. October 26 First Choice* Energy Collisions (Partee Center Map #18) Infection Detection (Carroll Science Center Map #21) Grids & Games-Computer programming (Roland Library Map #1) October 26 Second Choice Energy Collisions (Partee Center Map #18) Infection Detection (Carroll Science Center Map #21) Grids & Games-Computer programming (Roland Library Map #1) October 26 Third Choice Energy Collisions (Partee Center Map #18) Infection Detection (Carroll Science Center Map #21) Grids & Games-Computer programming (Roland Library Map #1) Participant's Name* First Last Gender: Male Female Current Grade Level:*2nd Grade3rd Grade4th Grade5th GradeAllergies, Medical & Special Needs (Leave Blank if None):Parent/Guardian Name:* First Last Email:* Email Verification:* Primary Phone:Emergency Contact Name:* First Last Emergency Contact Phone:*T-Shirt Size:Youth X-Small (2-4)Youth Small (6-8)Youth Medium (10-12)Youth Large (14-16)Adult Small (34-36)Adult Medium (38-40)Adult Large (42-44)Adult X-Large (46-48)The following is true of my child: Prefers to work alone Is easily frustrated Likes to help others Makes friends easily Any other information we may need to know about your child:Photo & Video Consent* I understand photos and videos of my child may be taken and used for university publication.Waiver and Release of Liability and Conduct Policy*Disclaimer: Hannibal-LaGrange University is not responsible for any injury (or loss of property) to any person suffered while participating in an activity or event at or while participating in voluntary mission or relief efforts on behalf of Hannibal-LaGrange University for any reason whatsoever, including ordinary negligence on the part of Hannibal-LaGrange University their agents, instructors, sponsors or employees. In consideration of my participation in certain activities at or on behalf of Hannibal-LaGrange University, I hereby release and covenant not to sue Hannibal-LaGrange University, Hannibal-LaGrange University Board of Trustees, and any of their employees, instructors, or agents, from any and all present and future claims resulting from ordinary negligence on the part of Hannibal-LaGrange University or others listed for property damage, personal injury, or wrongful death, arising as a result of my engaging in events or activities or any activities incidental thereto, wherever, whenever, or however the same may occur. I hereby voluntarily waive any and all claims resulting from ordinary negligence, both present and future, that may be made by me, my family, estate, heirs, or assigns. Further, I am aware that some activities are vigorous involving severe cardiovascular stress. I understand that these activities involve certain risks, including, but not limited to, death, serious neck and spinal injuries resulting in complete or partial paralysis, brain damage, and serious injury to virtually all bones, joints, muscles, and internal organs. I am voluntarily participating in these activities with knowledge of the danger involved and hereby agree to accept any and all inherent risks of property damage, personal injury, or death. I further agree to indemnify and hold harmless Hannibal-LaGrange University, Hannibal-LaGrange University Board of Trustees, and any of their employees, instructors, sponsors or agents for any and all claims arising as a result of my engaging in these activities or any activities incidental thereto, wherever, whenever, or however the same may occur. I understand that this waiver is intended to be as broad and inclusive as permitted by the laws of Missouri and agree that if any portion is held invalid, the remainder of the waiver will continue in full legal force and effect. I further agree that the venue for any legal proceedings shall be in the state of Missouri. I affirm that I am of legal age and am freely signing this agreement or am a minor and my parent or legal guardian has executed this document. I have read this form and fully understand that by signing this form, I am giving up legal rights and/or remedies which may be available to me for the ordinary negligence of Hannibal-LaGrange University, Hannibal-LaGrange University Board of Trustees, and any of their employees, instructors, or agents. There is no use of alcohol, tobacco, or illegal drugs on campus. There is to be no foul, abusive language, or behavior. There is to be no gambling of any kind. There are to be no firearms, fireworks, knives, or weapons of any kind on campus. I understand and agree to abide by the policies of Hannibal-LaGrange University Signature of Parent*Typing your name in the box below and submitting this form indicate agreement to the Waiver and Release.